Ketamine-Assisted Psychotherapy in Boulder
A powerful tool, held within the deeper work.
There's a lot of noise right now around ketamine and psychedelics — a lot of it promising quick transformation, a lot of it treating the medicine as the whole story. That's not how I work, and it's not what this is.
Ketamine-assisted psychotherapy, done well, is not a shortcut. The medicine can open a door — it can soften the defenses that usually keep us at a safe distance from ourselves, and it can make accessible what's ordinarily out of reach. But the door opening isn't the work. The work is what we do with what we find on the other side, and how we integrate it back into your life. That part is slow, relational, and human. It's the same depth work I've always done. The medicine simply gives us a different kind of access to it.
What ketamine-assisted psychotherapy is
Ketamine is a legal medicine that, at the right dose in the right setting, produces a temporary shift in consciousness — a loosening of the usual mental patterns, a quieting of the inner critic, and often a sense of spaciousness or perspective that can be difficult to reach through talk therapy alone. For many people, it makes it possible to approach material — grief, trauma, long-held patterns, parts of themselves they've kept at arm's length — with less fear and more openness.
But the medicine is only one part of a larger process. The heart of the work is the preparation beforehand and the integration afterward — the sessions where we make meaning of what surfaced and translate it into actual change. Without that, an experience remains just an experience. With it, it can become a genuine turning point.
How KAP works with Journey Clinical
I offer this work in partnership with Journey Clinical, a medical practice that handles the clinical and prescribing side of ketamine treatment. This means your medical care is overseen by licensed medical professionals who evaluate your eligibility, determine appropriate dosing, and monitor your health throughout — while I hold the psychotherapeutic side: the preparation, the deeper work, and the integration.
The process generally looks like this:
- An initial medical consultation through Journey Clinical to determine whether ketamine is appropriate and safe for you.
- Preparation sessions with me, where we clarify your intentions and get you ready for the experience.
- The medicine sessions themselves, held in a safe, supported setting.
- Integration sessions afterward, where the real meaning-making happens and where insight becomes change.
In-office or at-home ketamine therapy
Depending on what your prescriber determines is appropriate, dosing sessions happen in one of two formats.
In-person sessions take place in my office, with me physically present with you throughout.
Telehealth-monitored sessions take place in your own home. You self-administer the medication as prescribed while I'm present and monitoring by secure video. These require a few things: you'll need to be medically cleared by your prescriber for at-home administration, and a sober adult support person must be physically present with you for the full session and for a period afterward. That requirement isn't negotiable — I can't run an at-home session without someone there with you.
Either way, you won't be able to drive for at least 24 hours afterward, so plan accordingly.
We'll talk through which format makes sense for you, and it can change over the course of treatment.
Who ketamine-assisted therapy is for
Many of the people I do this work with aren't in acute crisis. They're in the middle of their lives, and something has stopped working: the meaning, the identity, the story they were living inside. Often that shows up as depression or anxiety, and sometimes it's closer to a spiritual emergency than a clinical one. Ketamine can loosen the grip of the old structure enough to see what's trying to emerge. I hold what surfaces the way I'd hold a significant dream: not as something to decode, but as something to stay with. Whether ketamine is medically appropriate for you is determined by Journey Clinical's evaluation, and we'll talk honestly about fit before you get there.
Ketamine-assisted psychotherapy can be particularly helpful for people working with depression, anxiety, trauma, and the kind of long-standing patterns that have proven resistant to talk therapy alone. It tends to be a good fit for people who are ready to do real work — not looking for a quick fix, but open to a different kind of access to themselves.
It isn't right for everyone. There are medical and psychological considerations that determine whether it's safe and appropriate, which is exactly why the medical screening through Journey Clinical is part of the process. When we speak, I'm glad to talk honestly about whether this is likely to be a good fit for you.
"The medicine can open the door. But the door opening isn't the work — the work is what we do with what we find on the other side."
What KAP costs
The preparation and integration sessions that make up most of this work are ordinary psychotherapy sessions. If you're insured through Aetna, Oxford, SelectHealth, or UnitedHealthcare (Optum), they're billed to insurance like any other session. Otherwise they're $165 self-pay, and I can provide superbills for out-of-network reimbursement.
The dosing sessions themselves are the exception — there's no insurance code that covers them, so they're self-pay:
- In-person dosing session — $395, roughly two hours.
- Telehealth-monitored dosing session — $330, roughly two hours.
These are billed as a flat session fee rather than hourly. If a session needs to run somewhat long for clinical or safety reasons, that time is included — you won't be charged extra for letting a session finish properly.
The medical side of your care — the initial evaluation, the prescription itself, and ongoing medical follow-up — is handled and billed separately by Journey Clinical. Those costs aren't part of my fees and don't come to me. You'll want to understand their fee structure directly with them.
For the self-pay portion of your care, you have the right to a Good Faith Estimate under the federal No Surprises Act, and I'll provide one in writing before we begin. A full course of KAP typically involves several preparation, dosing, and integration sessions; we'll map out what that looks like for you in advance so there are no surprises.
Common questions about KAP
Is ketamine therapy legal in Colorado?
Yes. Ketamine is an FDA-approved medication that can be legally prescribed by a licensed medical provider. Its use for mental health is off-label, which is common and legal. In my practice, all prescribing and medical oversight is handled by Journey Clinical.
How many sessions does KAP involve?
It varies. A course of KAP usually includes several preparation, dosing, and integration sessions, and your prescriber determines the medical side of the plan. We'll map out what it's likely to look like for you in advance, including a written Good Faith Estimate for the self-pay portion.
Does insurance cover ketamine-assisted psychotherapy?
Partly. Preparation and integration sessions are ordinary psychotherapy and can be billed to Aetna, Oxford, SelectHealth, or UnitedHealthcare (Optum). Dosing sessions have no insurance code and are self-pay. Journey Clinical bills separately for the medical side.
Can I do ketamine therapy at home?
Sometimes. If your prescriber clears you for at-home administration, dosing sessions can happen in your home anywhere in Colorado, with me present by secure video and a sober adult support person physically with you for the whole session and afterward.
How is this different from a ketamine clinic?
Many clinics are organized around the medicine itself. Here the therapy is the center, and the medicine is one tool inside a longer relationship. The preparation and integration are where most of the change happens, and that's most of what we do together.
What about my current medications?
Journey Clinical's medical team reviews all of your medications during their evaluation and will tell you what, if anything, needs to be considered. Please don't stop or change any medication on your own in preparation for KAP.
Do I need a diagnosis to be a candidate?
Eligibility is a medical decision made by Journey Clinical, and it typically involves a qualifying condition such as depression, anxiety, or PTSD. Many people who come to this work describe their situation as a crisis of meaning more than a diagnosis, and often both are true. We can talk it through in a consultation before you pursue the medical evaluation.
Getting started
I've completed training and credentialing through Journey Clinical and offer ketamine-assisted psychotherapy as part of my practice. If you think this work might be for you, the place to start is a free 15-minute conversation. We'll talk about what's bringing you to it, whether it's likely to be a good fit, and what the process would look like from here. The medical evaluation through Journey Clinical comes after that, and there's no obligation at any point.
One scheduling note worth knowing up front: because dosing sessions require an extended reserved block and coordination with your medical provider, they carry a 72-hour cancellation policy rather than my standard 24 hours.
Or reach out with questions: (720) 432-0149
If you've had psychedelic experiences elsewhere and are looking for support in making sense of them, I also offer psychedelic integration.
If you're drawn to this work because of where you are in your life, you may also want to read about midlife and existential therapy.
Ketamine-assisted psychotherapy is provided in partnership with Journey Clinical, which oversees all medical aspects of treatment including eligibility evaluation, prescribing, and outcome monitoring. Ketamine is used off-label for mental health treatment.